Student Application

16299 Highway 101 N Smith River, CA 95567

ACE Program Activities Interest Form

Student Information

Name(Required)
MM slash DD slash YYYY
Address

Parent/ Guardian 1 Information

Name(Required)

School Information

Wish List

Check all activities you would like to participate in:(Required)

Education Youth Services Division K-12

Sri’-srwvlh Mee-ne’ Department Office

Education Family Liaisons

Kym StClair 707-487-9255 ext. 1554
Garrett Campbell 707-487-9255 ext. 1555
Yesenia Saucedo 707-487-9255 ext. 1553
Andrew Macdonald 707-487-9255 ext. 1551
Kyle Hinshaw 707-487-9255 ext. 1556

 

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Talking with someone about your thoughts and feelings can save your life. There are steps you can take to keep yourself safe through a crisis. Call or text 988 any time or chat online with the 988 Suicide & Crisis Hotline